Capsule endoscopy in inflammatory bowel disease type unclassified and indeterminate colitis serologically negative

BACKGROUND: The value of capsule endoscopy in the setting of inflammatory bowel disease type unclassified (IBDU) and indeterminate colitis (IC) remains obscure. The aim was to evaluate the clinical impact of capsule endoscopy on IBDU/IC patients with negative serology. METHODS: Eighteen patients with long-standing IBDU (n = 14) and IC (n = 4) were enrolled to undergo a capsule endoscopy and then followed prospectively. Lesions considered diagnostic of Crohn's disease (CD) were 4 or more erosions/ulcers and/or a stricture. The median follow-up time after capsule endoscopy was 32 ± 11 months (23-54 months). RESULTS: Total enteroscopy was possible in all patients. In 2 patients the examination was normal (Group 1). In 9 patients subtle findings were observed (Group 2): focal villi denudation (n = 1) and fewer than 4 erosions/ulcers (n = 8). In 7 patients, 4 or more erosions/ulcers were detected (Group 3), leading to a diagnosis of CD. However, their treatment was not reassessed on the basis of the capsule findings. Until now, a definitive diagnosis has been achieved in 2 additional patients: 1 from Group 1 (ulcerative colitis) and another patient from Group 2 (CD), who began infliximab infusions. Nine patients remained indeterminate at follow-up. CONCLUSIONS: Although capsule endoscopy enabled the diagnosis of CD in 7 patients, in none of them was the clinical management changed. Moreover, a change in therapy due to a diagnosis of CD was made for only 1 patient, who presented nonspecific findings. Our results suggest that capsule findings are not helpful in the work-up of these patient

Operational research IO 2021—analytics for a better world. XXI Congress of APDIO, Figueira da Foz, Portugal, November 7–8, 2021

This book provides the current status of research on the application of OR methods to solve emerging and relevant operations management problems. Each chapter is a selected contribution of the IO2021 - XXI Congress of APDIO, the Portuguese Association of Operational Research, held in Figueira da Foz from 7 to 8 November 2021. Under the theme of analytics for a better world, the book presents interesting results and applications of OR cutting-edge methods and techniques to various real-world problems. Of particular importance are works applying nonlinear, multi-objective optimization, hybrid heuristics, multicriteria decision analysis, data envelopment analysis, simulation, clustering techniques and decision support systems, in different areas such as supply chain management, production planning and scheduling, logistics, energy, telecommunications, finance and health. All chapters were carefully reviewed by the members of the scientific program committee.info:eu-repo/semantics/publishedVersio

Metabolic adjustments in two Amazonian cichlids exposed to hypoxia and anoxia.

The effects of graded hypoxia on the physiological and biochemical responses were examined in two closely related species of cichlids of the Amazon: Astronotus crassipinnis and Symphysodon aequifasciatus. Ten fish of each species were exposed to graded hypoxia for 8 h in seven oxygen concentrations (5.92, 3.15, 1.54, 0.79, 0.60, 0.34, and 0.06 mg O2 L- 1), with the aim to evaluate hypoxia tolerance and metabolic adjustments, where plasma glucose and lactate levels, hepatic and muscle glycogen contents, and maximum enzyme activities (PK, LDH, MDH and CS) in skeletal and cardiac muscles were measured. Another experimental set was done to quantify oxygen consumption (MO2) and opercular movements in two oxygen concentrations. Hypoxia tolerance differed between the two species. Astronotus crassipinnis was able to tolerate anoxia for 178 min while S. aequifasciatus was able to withstand 222 min exposure in deep hypoxia (0.75 mg O2 L- 1). Suppressed MO2 was observed during exposure to 0.34 (A. crassipinnis) and 0.79 mg O2 L- 1 (S. aequifasciatus), while opercular movements increased in both species exposed to hypoxia. Higher levels of muscle and liver glycogen and larger hypoxia-induced increases in plasma glucose and lactate were observed in A. crassipinnis, which showed a higher degree of hypoxia tolerance. Changes in enzyme levels were tissue-specific and differed between species suggesting differential abilities in down-regulating oxidative pathways and increasing anaerobic metabolism. Based on the present data, we conclude that these animals are good anaerobes and highly adapted to their environment, which is allowed by their abilities to regulate metabolic pathways and adjust their enzyme levels

Single Heavy Lepton Production in High Energy Electron-Positron Collisions

The production and decay of exotic leptons are discussed in the context of the vector singlet, vector doublet and fer\-mion mirror-fer\-mion models, at c.m. energies $\sqrt{s}=190GeV$ (LEP II) and $\sqrt{s}=500GeV$ (NLC). The model dependence of total cross sections and kinematic distributions at these energies is shown to be weak for these three extended models, indicating that it would be difficult to establish which of them is best fit to describe the underlying new physics, should exotic leptons be detected. We suggest that, in order to resolve this difficulty, one should measure the angular distributions of single exotic leptons in longitudinally polarized $e^+e^-$ collisions.Comment: 11 pages, 10 Figs, LATeX, Preprint IF-UFRJ/9

Non-AIDS-related comorbidities in people living with HIV-1 aged 50 years and older: The AGING POSITIVE study.

OBJECTIVE: To characterize the profile of non-AIDS-related comorbidities (NARC) in the older HIV-1-infected population and to explore the factors associated with multiple NARC. METHODS: This was a multicentre, cross-sectional study including HIV-1-infected patients aged ≥50 years, who were virologically suppressed and had been on a stable antiretroviral therapy (ART) regimen for at least 6 months. A multiple regression model explored the association between demographic and clinical variables and the number of NARC. RESULTS: Overall, 401 patients were enrolled. The mean age of the patients was 59.3 years and 72.6% were male. The mean duration of HIV-1 infection was 12.0 years and the median exposure to ART was 10.0 years. The mean number of NARC was 2.1, and 34.7% of patients had three or more NARC. Hypercholesterolemia was the most frequent NARC (60.8%), followed by arterial hypertension (39.7%) and chronic depression/anxiety (23.9%). Arterial hypertension and diabetes mellitus were the most frequently treated NARC (95.6% and 92.6% of cases, respectively). The linear regression analysis showed a positive relationship between age and NARC (B=0.032, 95% confidence interval 0.015-0.049; p=0.0003) and between the duration of HIV-1 infection and NARC (B=0.039, 95% confidence interval 0.017-0.059; p=0.0005). CONCLUSIONS: A high prevalence of NARC was found, the most common being metabolic, cardiovascular, and psychological conditions. NARC rates were similar to those reported for the general population, suggesting a larger societal problem beyond HIV infection. A multidisciplinary approach is essential to reduce the burden of complex multi-morbid conditions in the HIV-1-infected population.info:eu-repo/semantics/publishedVersio

Contribution for the phytochemical studies of Ageratum fastigiatum

Organic extracts from leaves plus branches plus inflorescences of Ageratum fastigiatum (Gardner) R. M. King & H. Rob., Asteraceae, were fractionated through classic chromatography. The steroids stigmasterol, chondrillasterol and campesterol were isolated from hexane extract. The triterpenes lupeol, taraxasterol, α-amyrin, β-amyrin, pseudotaraxasterol, lupeol acetate and α-amyrin acetate were isolated from ethyl acetate extract. Steroids and triterpenes were identified by GC-MS. The coumarin ayapin was isolated from ethanol extract and identified by NMR. Essential oils of the fresh leaves and fresh inflorescences were obtained by hydrodistillation and analyzed for GC-MS. The main components in both essential oils were α-pinene, limonene and germacrene D.FAPEMI

Gestual Life, Jogo educativo de língua gestual Portuguesa

Jogos de computador educativos têm vindo a ser investigados ao longo das últimas décadas como um meio de ensino e abrangem áreas como a Matemática, Gestão, Biologia, Química e Medicina. Para a realização do nosso projecto, decidimos investigar uma área que ainda não tivesse sido muito explorada. Desenvolvemos um jogo educativo que ensina Língua Gestual Portuguesa a pessoas ouvintes, visto que a demografia surda já possui esta língua como língua materna. Desenvolvemos todo o trabalho apresentado, desde scripts a modelos 3D. De modo a conseguir proporcionar aos utilizadores uma experiência de total imersão, desenvolvemos um ambiente amigável com jogabilidade imersiva, interacção com NPCs (Non-Player Characters ou personagens controladas pelo sistema) e desafios.info:eu-repo/semantics/publishedVersio